10D2194193 CLIA NUMBER - BWELL CLINICAL RESEARCH CORP

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Laboratory Demographics

CLIA Number: 10D2194193

Facility Name: BWELL CLINICAL RESEARCH CORP

Facility Address:
10500 NW 26 ST STE A102A
DORAL, FL
ZIP 33172
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Facility Phone Number: 786 953-8043

Facility Type: Other - RESEARCH

Certificate Type: Waiver

NPI Number: 1326650573

Taxonomy: 261QR1100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2194193
LAB Type	Other - RESEARCH
Facility Name	BWELL CLINICAL RESEARCH CORP
Street	10500 NW 26 ST STE A102A
City	DORAL
State	FL
ZIP	33172
Phone	786 953-8043
CertificateType	4
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024